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Descovy Cost, Copay Card and Savings
- U.S. list price
- $6,606.90 for 90 days (90 tablets)The maker's price for brand Descovy before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $26.18 per tablet$2,370.94 for 90 days (90 tablets), shipping included · brand Descovy 200 mg/25 mg, not FDA-approved · ships from United Kingdom
Generic emtricitabine and tenofovir alafenamide 200 mg/25 mg (not FDA-approved · ships from Mauritius) from $253.32
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Quick answerAs of Nov 12, 2026, brand Descovy 200 mg/25 mg costs from $2,370.94 for 90 days at online pharmacies abroad we compared, vs. $6,606.90 at the U.S. list price ($2,202.30 for 30). With commercial insurance, Gilead's copay card covers up to $7,200 a year.
Name check: Truvada is a different medicine with its own page. Descovy abroad also comes as 200 mg/10 mg, a strength not sold in the U.S., so it isn't priced here.
Compare Descovy prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $6,606.90 for 90 days ($73.41 per tablet), brand Descovy before insurance. The prices below are from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Emtricitabine / Tenofovir Alafenamide (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg/25 mg · generic · Filled in MauritiusProduct of India | $160.13for 90 tablets$1.78 per tablet | Fee not publishedDelivery time not stated | $160.13 for 90 days= $160.13 for 90 days+ shippingSave 98%incl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Emtricitabine / Tenofovir Alafenamide (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg/25 mg · generic · Filled in MauritiusProduct of India | $170.99for 90 tablets$1.90 per tablet | Fee not publishedDelivery time not stated | $170.99 for 90 days= $170.99 for 90 days+ shippingSave 97%incl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Emtricitabine / Tenofovir Alafenamide (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg/25 mg · generic · Filled in MauritiusProduct of India | $243.37for 90 tablets$2.70 per tablet | $9.95Delivery time not stated | $253.32 for 90 days= $253.32 for 90 daysSave 96%incl. $9.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent to Descovy (200mg/25mg)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.200 mg/25 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Hetro | $271.46for 90 tablets$3.02 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $286.41 for 90 days= $286.41 for 90 daysSave 96%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Brand Descovy 200mg/25mg200 mg/25 mg · brand · Filled in United KingdomProduct of United Kingdom | $2,355.99for 90 tablets$26.18 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $2,370.94 for 90 days= $2,370.94 for 90 daysSave 64%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Descovy 200mg/25mg200 mg/25 mg · brand · Filled in United KingdomProduct of United Kingdom | $2,568.93for 90 tablets$28.54 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $2,583.88 for 90 days= $2,583.88 for 90 daysSave 61%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Descovy (U.K. Descovy by Gilead; Alcura is the U.K. distributor)200 mg/25 mg · brand · Filled in United KingdomMaker listed by pharmacy: Alcura | $2,608.99for 90 tablets$28.99 per tablet | FreePharmacy's estimate: 2–3 weeks | $2,608.99 for 90 days= $2,608.99 for 90 daysSave 61%incl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Descovy 200mg/25mg200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences (Inc) | $2,903.60for 90 tablets$32.26 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $2,918.55 for 90 days= $2,918.55 for 90 daysSave 56%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Brand Descovy 200mg/25mg200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences (Inc) | $3,015.28for 90 tablets$33.50 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $3,030.23 for 90 days= $3,030.23 for 90 daysSave 54%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Descovy200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences | $3,620.97for 90 tablets$40.23 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $3,635.92 for 90 days= $3,635.92 for 90 daysSave 45%incl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | DESCOVY200 mg/25 mg · brand · Filled in CanadaProduct of Canada | $1,443.50per 30 tablets · 3 packs = $4,330.50$48.12 per tablet | FreeDelivery time not stated | $4,330.50 for 90 days= $4,330.50 for 90 daysSave 34%incl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | DESCOVY200 mg/25 mg · brand · Filled in CanadaProduct of Canada | $1,445.89per 30 tablets · 3 packs = $4,337.67$48.20 per tablet | FreeDelivery time not stated | $4,337.67 for 90 days= $4,337.67 for 90 daysSave 34%incl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Descovy from Canada?
90-day cost = 90 tablets at the usual dose of 1 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 12, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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Join to See PharmaciesAlready a member? Sign inDescovy price by strength
| Strength | Lowest brand90 days | Lowest generic abroad90 days, not FDA-approved | Price per tablet |
|---|---|---|---|
| Descovy 200 mg/25 mg | $2,370.94 | $253.32 | $26.18 brand · $2.70 generic |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 12, 2026.
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90-day prices from 7 licensed pharmacies shipping to the U.S.: $253.32 to $4,337.67, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Descovy · Similar drugs · Uses · FAQ
Descovy (emtricitabine and tenofovir alafenamide) is a once-a-day tablet used with other medicines to treat HIV-1, and on its own as PrEP to lower the risk of getting HIV from sex.
Descovy cost at a glance
- U.S. list price: $2,202.30 for a bottle of 30 Descovy tablets, a 30-day supply, for either strength. This is Gilead's wholesale price before discounts (Texas DSHS).
- No generic Descovy on sale yet. The FDA has approved generic versions from several companies, including Macleods (April 2026) and Natco (August 2026), but we found no FDA drug listing showing any of them on sale (FDA Orange Book).
- With private insurance: Gilead's Advancing Access copay coupon covers up to $7,200 a year in cost sharing for Descovy. Not for Medicare, Medicaid or other government-funded coverage, and not for people paying cash (Gilead).
- Without insurance: Gilead's patient assistance program provides medicine free of charge to eligible uninsured people (Gilead). For HIV treatment, your state's AIDS Drug Assistance Program (ADAP) can also help (HRSA).
- How we count: 1 tablet a day. The label's dose for treatment (people 35 kg and up) and for PrEP is one 200 mg/25 mg tablet once a day (DailyMed).
- From online pharmacies abroad: $2,370.94 to $4,337.67 for 90 days of brand Descovy 200 mg/25 mg, shipping included (checked Nov 12, 2026). The U.S. list price for 90 tablets is $6,606.90.
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
How much does Descovy cost in the U.S.?
| If you have | What Descovy costs | Source |
|---|---|---|
| No insurance (list price) | $2,202.30 for 30 tablets of Descovy 200 mg/25 mg ($73.41 a tablet); the 120 mg/15 mg tablets list at the same price. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (help with cost) | Gilead's patient assistance program provides Descovy free of charge to eligible uninsured people. For HIV treatment, your state's ADAP can also help. | Gilead |
| Private or employer insurance | Gilead's Advancing Access copay coupon covers up to $7,200 a year in cost sharing for Descovy, with no monthly limit. | Gilead |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. Gilead's copay coupon can't be used. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
Gilead lists Descovy at $2,202.30 for 30 tablets (Texas DSHS). That is the maker's wholesale price before discounts; what a pharmacy charges you can differ. Most people pay far less through insurance, Gilead's copay coupon or patient assistance, Medicaid, or their state's ADAP for HIV treatment.
Descovy cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Descovy depends on your plan's drug list. Gilead's copay coupon can't be used with Medicare.
| Medicare Part D | What Descovy costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Descovy coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Descovy coupons. eDrugSearch has no coupons of its own. These are the programs we could verify for Descovy:
- Gilead Advancing Access copay coupon: for people with commercial insurance. It covers up to $7,200 a year in cost-sharing assistance for Descovy, with no monthly limit. Not for anyone with Medicare (including Part D), Medicaid, a state or federally funded drug program, Federal Employees Health Benefits, VA or TRICARE, and not for uninsured or cash-paying patients. Call 1-800-226-2056. (Gilead Advancing Access)
- Gilead patient assistance program: medicine free of charge for eligible uninsured people. Call Advancing Access at 1-800-226-2056 to check eligibility. (Gilead Advancing Access)
- AIDS Drug Assistance Program (ADAP): run by each state and territory under the federal Ryan White HIV/AIDS Program. It helps low-income people with HIV who have limited or no health insurance get FDA-approved HIV medicines, and can help pay for health insurance. (HRSA: ADAP)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Descovy?
Not yet on sale. The FDA has approved generic emtricitabine and tenofovir alafenamide tablets from Cipla, Macleods (April 7, 2026) and Natco (August 26, 2026), rated equivalent to Descovy, but we found no FDA drug listing showing any generic version on sale in the U.S.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 120 mg/15 mg | No | — | |
| 200 mg/25 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell emtricitabine and tenofovir alafenamide made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: emtricitabine and tenofovir alafenamide. As of Nov 12, 2026.
Compare Descovy with similar drugs
Other Gilead medicines with tenofovir: Truvada is also used for PrEP, Biktarvy, Odefsey and Genvoya are complete HIV regimens that include emtricitabine and tenofovir alafenamide, and Vemlidy treats hepatitis B. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Truvadaemtricitabine and tenofovir disoproxil fumarate | HIV medicine (two NRTIs in one tablet), also used for PrEP | $108.95 for 90 days | See prices |
| Biktarvybictegravir, emtricitabine and tenofovir alafenamide | HIV medicine (complete one-pill regimen: integrase inhibitor plus two NRTIs) | $502.77 for 90 days | See prices |
| Odefseyemtricitabine, rilpivirine and tenofovir alafenamide | HIV medicine (complete one-pill regimen) | $4,428.33 for 90 days | See prices |
| Genvoyaelvitegravir, cobicistat, emtricitabine and tenofovir alafenamide | HIV medicine (complete one-tablet regimen) | $4,342.54 for 90 days | See prices |
| Vemlidytenofovir alafenamide | Hepatitis B medicine (nucleoside analog reverse transcriptase inhibitor) | $179.98 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Descovy used for?
Descovy combines two HIV medicines (emtricitabine and tenofovir alafenamide). According to its FDA label (DailyMed), it is used:
- Together with other HIV medicines, to treat HIV-1 infection in adults and children who weigh at least 14 kg (about 31 lb).
- On its own as PrEP (pre-exposure prophylaxis), to lower the risk of getting HIV-1 from sex in adults and teens who weigh at least 35 kg (about 77 lb). It isn't approved as PrEP for people at risk from receptive vaginal sex.
Descovy comes as 200 mg/25 mg and 120 mg/15 mg tablets. The usual dose is one tablet once a day, with or without food. The label has a boxed warning: hepatitis B can flare badly if Descovy is stopped in people who have it, and taking it as PrEP without knowing you already have HIV can lead to drug-resistant HIV, so an HIV test is needed right before starting and at least every 3 months. Descovy doesn't cure HIV. Your prescriber decides which medicine is right for you.
Is it safe to order Descovy from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Descovy, compare Gilead's copay coupon, patient assistance and your state's ADAP before you order. HIV medicines and PrEP need steady supply, so plan around shipping times. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Health Canada lists Gilead's Descovy 200 mg/25 mg and 200 mg/10 mg tablets as marketed (Health Canada, checked 2026-11-12); only the 200 mg/25 mg strength is sold in the U.S.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much does Descovy cost without insurance?
The U.S. list price of Descovy is $2,202.30 for 30 tablets, the maker's wholesale price before discounts. Online pharmacies abroad charged from $2,370.94 for 90 days of brand Descovy in our latest check (Nov 12, 2026). If you're uninsured, Gilead's patient assistance program may provide it free if you qualify.
Is there a Descovy copay card?
Yes. Gilead's Advancing Access copay coupon covers up to $7,200 a year in cost sharing for people with commercial insurance. It can't be used with Medicare, Medicaid or other government-funded coverage, or by people paying cash.
Is there a generic Descovy?
Not on sale yet. The FDA has approved generic versions from Cipla, Macleods and Natco, but as of November 2026 we found no FDA drug listing showing any of them for sale in the U.S.
How much is Descovy for PrEP?
The price is the same for PrEP and treatment: $2,202.30 for 30 tablets at the U.S. list price. What you actually pay depends on your insurance; Gilead's copay coupon and patient assistance program apply to Descovy for PrEP too.
Is Descovy the same as Truvada?
No. Both contain emtricitabine, but Descovy has tenofovir alafenamide and Truvada has tenofovir disoproxil fumarate. Generic Truvada is sold in the U.S.; generic Descovy isn't yet. Your prescriber decides which medicine is right for you.
How much does Descovy cost with Medicare?
It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year. Gilead's copay coupon can't be used; Extra Help and ADAP may help.
Sources
- DESCOVY U.S. prescribing information, Gilead (DailyMed) (label version 13 (effective 2026-07-07): HIV-1 treatment (14 kg and up) and PrEP (35 kg and up, excluding receptive vaginal sex); one tablet once daily; boxed warning)
- FDA NDC Directory: Descovy (NDC 61958-2002 and 61958-2005) (Gilead, bottles of 30, active)
- Drugs@FDA: Descovy (NDA 208215) (200/25 and 120/15 mg: Prescription (RLD))
- FDA Orange Book: emtricitabine and tenofovir alafenamide (AB generics approved: Cipla ANDA 214059, Macleods 214216 (2026-04-07), Natco 214173 (2026-08-26) Prescription; Apotex 214053 and Lupin 213926 approved then Discontinued)
- FDA NDC Directory: emtricitabine and tenofovir alafenamide (no generic finished-product listing (ANDA 214059, 214216, 214173 return no NDC); checked 2026-11-12)
- Texas DSHS: 2026 annual WAC report (Gilead DESCOVY 61958200201, 61958200202, 61958200501: $2,202.30 per 30)
- Gilead Advancing Access: copay coupon (up to $7,200 per calendar year for Descovy, no monthly limit; government-funded coverage, FEHB, VA/TRICARE excluded; uninsured and cash-paying not eligible; checked 2026-11-12)
- Gilead Advancing Access patient brochure (09/25) ('Medication free of charge for eligible, uninsured individuals')
- HRSA: Ryan White Part B AIDS Drug Assistance Program
- Health Canada Drug Product Database: Descovy (Gilead Descovy 200/10 (DIN 02454416) and 200/25 (DIN 02454424): Marketed; checked 2026-11-12)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.